Blow-out fracture of the orbital medial wall

Case contributed by Dr Shervin Sharifkashani

Presentation

Facial trauma and subsequent left orbital pain and the left eye abduction limitation.

Patient Data

Age: 30 years
Gender: Male

Left orbital medial wall blow-out fracture with pronounced fat and medial rectus muscle hernia within the fracture gap, preseptal, and lacrimal gland soft tissue swelling, ethmoid air cells hemorrhage, and the right eye nasal deviation is seen.

Case Discussion

The case illustrates the non-contrast MDCT features of the orbital medial wall blow-out fracture with medial rectus muscle entrapment. The orbital blow-out fracture is one of major causes of the extraocular muscles entrapment, diplopia, and enophthalmos.

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